奇美醫院神經外科

Special Features

The neurosurgery department has about 80 beds under its care, including a neurosurgery intensive care unit wquired many high-end surgicalmicroscopes , a three-dimensional stereotatic system, a Metronic operative navigation machine, CUSA, endoscopic spine device,intraventricular endoscopy device, radiofrequency generator, and intraoperative neurophysiological monitoring instruments. In addition, there are two computer tomography machines, two magnetic resonance imaging machines, and two cerebral angiography (DSA) systems at our disposal.

There are an increasing number of surgical cases growing annually. Most notably more than 1500 surgical cases last year, of which about 130 cases were brain tumors, 30 cases were spinal tumors, 20 cases were aneurysms, 7 cases were cerebral arteriovenousmalformation, with 140 cases of hemorrhagic stroke, 120 cases of head trauma, and 750 cases consisting of spinal surgery and other neurosurgical procedures.

Our recent emphasis is placed on the development of minimal invasive surgery, with outstanding patient outcomes and quantity of casework becoming well known in southern Taiwan. Our work with transphenoidal endoscopic pituitary surgery has accumulated more than 260 cases; endoscopic median nerve decompression surgery with more than 1000 cases, intraventricular endoscopic tumor surgery with more than 10 cases, and minimally invasive spine surgery with more than 1000 cases (including endoscopic spine surgery).

The CyberKnife system (radiosurgery) was introduced to the Chi Mei neurosurgical department since October, 2008. It provides high accuracy and the option of non-surgical treatments of tumors and vascular lesions, and has since treated more than 890 brain and spinal lesions.

Award

2009	▸	Superintendent of Chi Mei Medical center, Prof.Chung-Ching Chio waselected as 9th president of Taiwan Association of Neurological Surgeons
2009	▸	Chief of Neurosurgical department, Dr. Chin-Hong Chang waselected as 9th Deputy Secretary Taiwan Association of Neurological Surgeons
2010	▸	Conducted the 2010 Taiwan Association of Neurological Surgeons Annual Meeting
2012	▸	Conductedthe 2012 5th World Chinese Association of Neurological Surgeons 2012 Taiwan Association of Neurological Surgeons Annual Meeting
2012	▸	Dr. Lim Sher Weiwas elected as Taiwan's National Outstanding Neurosurgery Resident
2012	▸	Taiwan Association of Neurological Surgeons Annual Meeting Best Paper Award
2014	▸	Taiwan Society of Critical care medicine Annual Meeting Best Poster Award
2015	▸	Taiwan Society of Critical care medicine Annual Meeting Best Poster Award
2015	▸	Dr. Liao won Chinese Young Neurosurgeon Association Annual Meeting Best Oral Presentation Award
2016	▸	Dr. Che-Chuan Wang published the paper “Effects of tamoxifen on traumatic brain injury-induced depression in male rats, and received Second place in the Formosan Journal of Surgery’s Outstanding Research Paper Award
2017	▸	Dr. Kam-Hou Ao received the Shih-Bin Du Distinguished Paper Award third place, Dr. Tee Tau Nyam received an honorary mention
2017	▸	“Traumatic Brain Injury Increases the Risk of Major Adverse Cardiovascular and Cerebrovascular Events: A 13-Year, Population-Based Study” Poster by Dr. Jinn-Rung Kuo, Dr. Tee Tau Nyam, Dr. Chung-Ching Chio, was awarded Outstanding Poster Award by the Society of Critical Care Physicians of Taiwan
2018	▸	Dr. Eric nyam tee tau was awarded the Outstanding Neurosurgery Resident Award from the Taiwan Cerebrovascular Disease Prevention Foundation
2018	▸	Dr. Jinn-Rung Kuo, Dr. Eric nyam tee tau, Dr. Chin-Hong Chang, Dr. Chung-Ching Chio, Dr. Che-Chuan Wang were awarded Outstanding Poster Paper Award at the Joint Annual Meeting of the Critical Care Medical Association of The Republic of China for “The Short-Term Effects of Isolated Traumatic Brain Injury on the Heart in Experimental Healthy Rats”
2020	▸	Accredited for Traumatic Brain Injury Care Standard developed by Joint Commission of Taiwan
2020	▸	Dr. Kuan-Chi Tu, Dr. Eric nyam tee tau, Dr. Jinn-Rung Kuo was awarded Special Mention Award for Paper Poster Presentation at Taiwan Society of Emergency and Critical Care Medicine for “The neuroprotective effects of AMN082 on neuronal apoptosis in rats after traumatic brain injury”
2021	▸	Dr. Kuan-Chi Tu, Dr. Jinn-Rung Kuo, Dr. Chin-Hong Chang was awarded Basic Research Honorary Mention Poster Award at the Taiwan Society of Emergency and Critical Care Medicine for “Hyperbaric oxygen therapy effects on brain and gut after different severity of traumatic brain injury in rats”
2021	▸	In the Green Idea Invention and Design Contest, Dr. Jinn-Rung Kuo was awarded the Titanium award for the invention of the “Feeder set”, “Integrated platform with 3D-Print vascular simulator and real-time infrared imaging system for neurointerventional training”. Dr. Eric nyam tee tau and Dr. Jinn-Rung Kuo won a Titanium Award for the “Intelligent Chess Board”. Dr. Kuo also won Golden Awards for “Surgical gauze multifunction (counting, weighing) automatic counting barrels”, and “Oxygen therapy equipment holder”. He also directed Dr. Kuan-Chi Tu and collaborated with Dr. Che-Chuan Wang on “Early mortality risk prediction in patients with traumatic brain injury using AI models in emergency triage” which won a Golden Award
2021	▸	Dr. Jinn-Rung Kuo was awarded the Pride of the Nation Academic Award for Outstanding International Achievement by the Taiwan International Invention Award Association
2022	▸	In the Green Idea Invention and Design Contest: Dr. Eric nyam tee tau, Dr. Che-Chuan Wang, Dr. Jinn-Rung Kuo invented the “Simulated teaching in ventriculostomy operation”, “Saliva aspiration device” and “Rehabilitaton hand frame with infrared heating and blood perfusion detection system” received Titanium Awards and “Pupillomerty” won the Gold Award
2022	▸	Chief Che-Chuan Wang attained the position of professor
2023	▸	In the 5th IEEE Eurasia Conference on Biomedical Engineering ,Healthcare and Sustainability 2023 Contest , Dr. Xiao-Han Yap, Dr. Kuan-Chi Tu, Dr. Che-Chuan Wang, along with Dr. Jinn-Rung Kuo, were awarded the Best conference oral presentation award for their of the "Artificial Intelligence Algorithms In Predicting In-Hospital Mortality Risk In Patients With Spontaneous Intracerebral Hemorrhage In Intensive Care Unit "
2023	▸	In the Malaysia Technology Expo and Design Contest, Dr. Che-Chuan Wang, Dr. Jinn-Rung Kuo, Dr. Eric Nyam Tee Tau, along with Dr. Xiao-Han Yap, were awarded the gold medal for their invention of the "Mobile Electrical Saliva Device" and "Artificial Intelligence Algorithms in Predicting In-hospital Mortality Risk of Patients with Spontaneous Intracerebral Hemorrhage in Intensive Care Unit".
2023	▸	In the Green Idea Invention and Design Contest, Dr. Che-Chuan Wang, Dr. Jinn-Rung Kuo, Dr. Eric Nyam Tee Tau, Dr. Yao-lin Lee, along with Dr. Kuan-Chi Tu, were awarded the Gold medal and special jury prize for their invention of the "Combat Advanced Trauma Training Model" and "Machine Learning Algorithm Predicts Mortality in Intensive Care Unit for Patients with Traumatic Brain Injury."
2023	▸	In the National innovation Award Contest: Dr. Jinn-Rung Kuo and Dr. Eric Nyam Tee Tau won the Clinical Innovation Award at the 20th National Innovation Awards for their "Real-time Feedback Hand-Brain Training Game Device." Director Jinn-Rung Kuo also received the Innovative Advancement Award for his "3D Printed Circulatory Model of Head and Neck Blood Vessels for Simulation of Neurovascular Intervention Minimally Invasive Surgery."
2023	▸	Chi Mei Medical Center has successfully passed the certification by complying with the Traumatic Brain Injury Care Standards developed by Joint Commission of Taiwan
2024	▸	Chief Chih-Wei Chen attained the position of professor
2025	▸	Consultant Chang Chin‑Hung, Director Hung Yi‑Chieh, and Occupational Therapist Hsu Ya‑Fang received the Outstanding Paper Award from the 8th AOCCN Secretariat and the Taiwan Society of Clinical Neurophysiology for their study titled ‘Safety and Short‑Term Efficacy of High‑Frequency Intermittent Theta‑Burst Transcranial Magnetic Stimulation in Refractory Trigeminal Neuralgia
2025	▸	Director Kuo Chin Jung, Dr. Yen Shih Tao, Dr. Tu Kuan Chi, Dr. Chen Kuan Yu, and Dr. Huang Kuo Hsün participated in the 2025 Green Ideas International Invention and Design Competition with their innovations—‘Spinal Surgery Simulation Trainer,’ ‘3D Printed Temporal Bone Mastoidectomy Training Model,’ and ‘Brain Surgery Simulation Trainer.’ They received one Titanium Award, one Gold Award, and one Silver Award. Among these, the ‘Spinal Surgery Simulation Trainer’ and the ‘3D Printed Temporal Bone Mastoidectomy Training Model’ also successfully obtained patent approval.”

Education Syllabus

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Introduction

Historical background:

The Chi Mei neurosurgery department was established in March of 1988, and was approved in ’91 as a neurosurgical specialty training center by the Taiwan Neurosurgical Society. An addition of one neurosurgical resident can be trained annually. Ever since the introduction of the cyberknife in ’08, we have provided both surgical and non-surgical treatment options for patients with neurological tumors and arteriovenous malformations, and our collaboration with interventional neuroradiologists using embolizationtechniques ensures a complete range of the invasive to the most conservative care. In addition, an integrative multidisciplinary Stroke Center and Trauma Center was established for the care of stroke patients and patients with traumatic brain injury since 2009. Our research laboratory was setup as well for further advancement in the field of fundamental neurology research.

Services

Our Chi Mei hospital neurosurgeons provide consultation, diagnosis and treatment for neurological disorders concerning the brain, spine, peripheral nerve and other neurological conditions. Neurosurgeons work collaboratively with neurologists, intervention radiologists, radiation oncologists, physiatrists, traditional Chinese physicians and others subspecialists to determine the most appropriate management option. Surgical or nonsurgical options are provided depending on individual needs and conditions.

Common neurological diseases, symptoms and treatments

Brain

Spine

Others

Primary tumor
Metastatic tumor
aneurysm, AVM, C-C fistula
Brain abscess
Traumatic brain injury
Post concussion syndrome
Intracranial hemorrhage
Hydrocephalus
Stroke

Primary tumor
Metastatic tumor
Vascular lesion: ex AVM
Spondylitis infectiosa
Traumatic spine injury
Degenerative spine disease
Osteoporotic compression fx
Neck pain
Sciatica
Back pain
Limbs numbness or weakness
claudication

Others
Carpal tunnel syndrome
Cubital tunnel syndrome
Others peripheral nerve disease
Hyperhidrosis
Hemifacial spasm
Trigeminal neuralgia
Parkinsonism

Interventional treatment procedure

Craniotomy/ craniectomy
Endoscopic approach for sellar tumor & ventricle tumor
VP shunt/ LP shunt
Cranioplasty
Transarterial embolization
Stereotatic biopsy
Stereotatic hematoma aspiration
Cyberknife radiosurgery
Others nonsurgical treatment option included acupuncture, physical therapy & etc.

Lumbar spinal fixation surgery
Lumbar spinal fusion surgery
Lumbar decompressive surgery
Minimally invasive spinal surgery
Endoscopic spinal surgery
Vertebroplasty
Transarterial embolization
Radiofrequency
Nerve block
Others pain control device
Others nonsurgical treatment option included acupuncture, physical therapy & etc.

Carpal tunnel decompression
Ulnar nerve transposition
Cyberknife radiosurgery
Endoscopic sympathectomy
Trigeminal neuralgia surgery
Hemifacial spasm surgery
Nerve block
Deep brain stimulation
Others functional surgery